Evidence map›Paper›PMID 41749241›Full record

ArticleTrials2026

Prophylactic LYMphatic Reconstruction (LYMbR) to prevent lymphedema after node dissection for cutaneous malignancies: a randomized controlled trial.

Eva Lindell Jonsson, Annie Wu, Taylor Onysyk, Ish Bains, Claire Temple-Oberle

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05136079 (Prophylactic LYMphatic Reconstruction), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05136079 phase3unknown statusnot on this map

Prophylactic LYMphatic Reconstruction (LYMbR) to Prevent Lymphedema

TypeinterventionalSponsorAlberta Health Services, CalgaryRan2022 to 2025Enrolled40ConditionsLymphedema of Limb, Malignant Skin NeoplasmArmsProphylactic lymphaticonvenous anastomosis
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eva Lindell JonssonUniversity of Calgary, Calgary, Canada.
Annie WuUniversity of Calgary, Calgary, Canada.
Taylor OnysykUniversity of Calgary, Calgary, Canada.
Ish BainsUniversity of Calgary, Calgary, Canada.
Claire Temple-OberleUniversity of Calgary, Calgary, Canada. claire.temple-oberle@ahs.ca.ORCID http://orcid.org/0000-0002-1199-6590

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCancer-related lymphedema (CRLE), a chronic complication of cancer treatment, affects 39-73% of patients post-lymph node dissection, impacting physical health, social participation, and finances. Prophylactic immediate lymphatic reconstruction (ILR) via lymphaticovenous anastomosis (LVA) has shown potential in reducing CRLE incidence by two-thirds following axillary and inguinal node dissection. However, rigorous phase III studies with long-term follow-up are still needed to confirm these promising results. This study aims to evaluate the efficacy, safety, and long-term outcomes of ILR in preventing CRLE in a prospective, controlled trial setting. METHODS/DESIGNS: A phase III randomized controlled trial will evaluate an intervention in adult patients undergoing axillary or groin node dissection for cutaneous malignancy. Block randomization will stratify participants by upper or lower extremities. Primary outcomes include lymphedema incidence and quality-of-life measures. Statistical analyses will compare lymphedema rates and quality-of-life outcomes between intervention and control groups.

objectivesThe primary endpoint is to assess the impact of prophylactic LVA on the presence or absence of lymphedema post axillary or groin lymphadenectomy and participant quality of life. The secondary endpoint is the incidence of complications related to nodal dissection. SIGNIFICANCE: CRLE, a common complication of cancer surgery and radiotherapy, severely impacts patients' lives and healthcare resources. Reducing its incidence by two-thirds would significantly improve outcomes for cancer survivors and decrease treatment demands. This underscores the need for advanced research in prevention and early intervention strategies to mitigate lymphedema's burden on patients and healthcare systems.

trial registrationClinicalTrials.gov ID NCT05136079 2021-11-02.

Indexed as

Lymphatic VesselsLymphedemaLymph Node ExcisionPlastic Surgery ProceduresSkin NeoplasmsAnastomosis, SurgicalClinical Trials, Phase III as TopicFemaleHumansIncidenceProspective StudiesQuality of LifeRandomized Controlled Trials as TopicResearch DesignTime FactorsTreatment Outcome

Identifiers

PMID41749241
PMCPMC13196168

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.